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Fargo Neurosurgeon Uses Unique Clot-removal Technique on Neonate

Feb 22, 2017 07:45PM ● By MED Magazine
Pediatric Neurosurgery recently published a unique case performed by neurosurgeon Alexander Drofa, MD, of the Sanford Brain and Spine Center in Fargo.
The case involved an infant who suffered a stroke. Drofa and his surgical team were able to reestablish blood flow to the brain by administering clot-dissolving drugs while also mechanically clearing the blockage with a stent retriever designed to apply force to the clot.
Dr. Drofa says the case was especially challenging because the baby had entered a coma. According to a 2005 study in Brain, coma in such cases is a strong predictor of death. Additionally, mechanical removal of stroke clots is rare in children, who rarely suffer strokes.
“We believe this to be the youngest stroke patient in the world to have been successfully treated with a stent retriever and drugs,” says Drofa. “Because of the severity of this case, it was necessary for the neurosurgery team to explore and aggressive therapy to give the infant a better chance of survival. The positive outcome is promising for future cases of this nature.”

Dr. Drofa is a fellowship-trained cerebrovascular neurosurgeon who practices at the Sanford 
Neuroscience Clinic in Fargo. The study entitled  “Successful Endovascular Management of Massive Pansinus Thrombosis: Case Report and Review of Literature”   appeared in the October 2016 issue of Pediatric Neurosurgery.

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